Breast Augmentation

You want beautiful sexy breasts, not just a simple breast enlargement. Dr. Jugenburg has studied breast augmentation techniques with some of the world’s most experienced breast surgeons, from whom he has learned the techniques and approaches to perform virtually every type of breast augmentation surgery and to deal with any potential challenge one may encounter during this surgery.

Breast Reconstruction

Dr. Jugenburg has sub-specialization in cancer reconstruction, and has trained at the world-renowned Memorial Sloan-Kettering Cancer Centre in Manhattan. Upon returning to Toronto, Dr. Jugenburg has worked at the Toronto General Hospital and Mt. Sinai Hospital in Toronto, providing some of the most sophisticated care to his patients.

Breast Reduction

Dr. Jugenburg rarely uses the “inverted T” approach, but rather limits the incision to only the vertical component. This means a significant reduction in scar size. Additionally, the technique Dr. Jugenburg performs is associated with fewer complications than the traditional “inverted T” with inferior pedicle technique. As a result, the blood supply, sensation, and “bottoming out” (sagging of the breast) are all improved compared to the traditional approach.

Toronto Breast Reduction

Breast Reduction Surgery

Smaller, firmer and lighter, you will enjoy the new you! The Breast Reduction procedure, technically known as Reduction Mammoplasty, involves removing fat from the breast to make it smaller, firmer, and lighter.

The most common way of performing breast reduction surgery is the “Inverted T,” in which one incision travels along the bottom of the breast, and another goes upward toward the nipple.

Dr. Jugenburg rarely uses the “inverted T” approach, but rather limits the incision to only the vertical component. This means a significant reduction in scar size. Additionally, the technique Dr. Jugenburg performs is associated with fewer complications than the traditional “inverted T” with inferior pedicle technique. As a result, the blood supply, sensation, and “bottoming out” (sagging of the breast) are all improved compared to the traditional approach.

In addition to the cutting out of the excess fat and breast tissue, Dr. Jugenburg also performs liposuction to sculpt the breast and remove excess fat from the side of the chest which the government health plan doesn’t consider part of the breast (and therefore is not covered under the provincial health plan) but is unsightly if left behind after the breasts have been reduced in size.

Reasons to Have a Breast Reduction

Neck, shoulder, and back symptoms perceived to be related to breast weight (sometimes not the only contributing factor)

Skin problems in the breast fold

Difficulty fitting into clothing

Social/psychological issues

Am I a Good Candidate For Breast Reduction?

You may be a good candidate for Breast Reduction if you have one or more of the following conditions:

Breasts that are too large in proportion to your body frame

Heavy, pendulous breasts with nipples and areolas that point downward

One breast is much larger than the other

Back, neck or shoulder pain caused by the weight of your breasts

Skin irritation beneath your breasts

Indentations in your shoulders from tight bra straps

Restriction of physical activity due to the size and weight of your breasts

Dissatisfaction or self-consciousness about the largeness of your breasts

Where Are Breast Reduction Incisions Placed?

Dr. Jugenburg limits his breast reduction incisions to two places. One incision is made around the areola. Another runs vertically from the bottom edge of the areola to the crease underneath the breast. Sometimes, when a very large reduction is required, the third incision follows the natural curve of the breast crease.

Will My Insurance Help Cover the Cost Of Surgery?

Insurance coverage is sometimes available to help with the cost of Breast Reduction Surgery. Provincial health programs have different requirements for eligibility. In general, you must have medical problems due to large breasts as cosmetic reasons are not eligible for coverage. If Dr. Jugenburg assesses you and determines that you may qualify, he will submit an application form to the Ministry of Health. It usually takes 4-6 weeks to get a reply. If you are approved, the fee for the procedure (on top of the insurance coverage) is $2500. If you are not eligible for coverage, the overall fee for Dr. Jugenburg’s Breast Reduction surgery is $5500.

Surgery For Men

Toronto Cosmetic Surgery Institute, is your destination for a full range of surgical and non-surgical procedures. Our surgeon, Dr. Jugenburg, is a Board Certified Plastic Surgeon with education, credentials, and years of experience that you can trust to give you personalized, exceptional care.

How Should I Prepare For Surgery?

Depending on your age, or if you have a history of breast cancer in your family, Dr. Jugenburg may recommend a baseline mammogram before surgery and another mammographic examination some months after surgery. This will help to detect any future changes in your breast tissue. Following breast reduction, you will still be able to perform breast self-examination. If you are a smoker, you will be asked to stop smoking well in advance of surgery. Aspirin and certain anti-inflammatory drugs can cause increased bleeding, so you should avoid taking these medications for a period of time before surgery. You should arrange to have someone take you home after the surgery and spend the first night with you.

Recovery After Breast Reduction

The typical recovery following breast reduction surgery is 2-4 weeks (you should plan on taking at least one week off from work). You should avoid any strenuous physical activity for 2 weeks and should not lift your arms above your shoulders during this time. During this time you will experience pain and bruising around the breast area. Bruising and swelling will become more noticeable after 3-4 days and disappear 2-3 weeks following the procedure. Scars will remain noticeable and raised for 6-9 months before they smooth out and fade away. You will not see the final shape and scarring of the breast for several months. Altered skin sensation of the breast is common post-surgery and usually resolves in 6-12 months. Occasionally, the altered sensation is permanent. A supportive bra (without an under wire) will be worn for a minimum of 4 weeks. Sports may be resumed after 3-4 months.

It is important to realize that all women have some degree of asymmetry with respect to:

Breast volume

Breast shape

Chest wall placement of each breast

Nipple-areolar size and shape

Nipple-areolar placement on the breast mound

Some degree of breast asymmetry will persist after your surgery no matter how carefully the surgery is done. Directly after surgery, your breasts may exhibit more asymmetry than normal due to swelling, but with patience you will see that your breast will become more symmetrical following your recovery period. Rest assured that Dr. Jugenburg will make the best use of his artistic talents to give you as much symmetry as possible.